Claims Detail Screen
Locate the terms found in the claims detail screen.
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BRAND-NAME
DATE-OF-SERVICE
DATE-SUBMITTED
DAW-CODE
DAY-SUPPLY
DEA-CLASS
GENERIC-INDICATOR
GENERIC-NAME
GPI
MANUFACTURER
NABP
NDC
NPI
PRESCRIBER-ID
PRESCRIBER-NAME
PROVIDER-NAME
QUANTITY-DIPENSED
REJECTION-CODE
REJECTION-MESSAGE
REMAININGTROOP
RX-NUMBER
| F | E | M | A | N | - | R | E | D | I | V | O | R | P | G | T | S | Z | V | K |
| D | E | G | T | P | Z | E | J | A | I | Q | B | V | R | K | P | A | D | K | N |
| L | C | G | L | B | G | M | M | W | D | T | C | D | E | F | M | E | E | E | P |
| C | I | E | E | A | I | A | G | - | O | S | B | Y | S | D | A | M | T | G | G |
| I | V | N | Y | N | R | N | F | C | Y | V | O | L | C | K | N | A | T | A | V |
| R | R | E | J | D | E | - | Z | O | V | P | N | P | R | L | U | N | I | S | A |
| K | E | R | H | C | Z | R | G | D | Y | V | M | P | I | F | F | - | M | S | D |
| P | S | I | K | S | C | E | I | E | Z | A | X | U | B | H | A | D | B | E | E |
| G | - | C | V | T | Z | B | X | C | E | Y | O | S | E | F | C | N | U | M | A |
| T | F | - | P | H | K | I | S | D | - | W | I | - | R | A | T | A | S | - | - |
| H | O | N | G | X | B | R | R | Y | K | I | P | Y | - | A | U | R | - | N | C |
| R | - | A | D | E | L | C | G | R | Z | E | N | A | I | U | R | B | E | O | L |
| E | E | M | X | C | K | S | E | L | A | D | M | D | D | G | E | M | T | I | A |
| B | T | E | L | Y | S | E | R | P | G | L | F | N | I | E | R | J | A | T | S |
| M | A | D | K | Y | T | R | R | P | L | Q | A | D | L | C | H | R | D | C | S |
| U | D | E | S | N | E | P | I | D | - | Y | T | I | T | N | A | U | Q | E | R |
| N | M | X | K | Z | G | G | V | A | C | I | U | C | P | T | E | T | C | J | Q |
| - | A | E | Z | E | X | Q | Y | V | N | P | B | C | L | A | G | K | O | E | B |
| X | S | R | Q | F | P | O | O | R | T | G | N | I | N | I | A | M | E | R | C |
| R | E | J | E | C | T | I | O | N | - | C | O | D | E | J | S | R | U | C | U |
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